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Impella® Family of Products (Currently available with FDA approvals/clearances) Impella® 2.5 How the Impella 2.5 Works The Impella 2.5 is a percutaneous, catheter-based heart pump that pulls blood from the left ventricle through an inlet area near the tip and expels blood from the catheter into the ascending aorta. The pump can be inserted via a standard catheterization procedure (in the cath lab) through the femoral artery in the leg, into the ascending aorta, across the valve and into the left ventricle. In June 2008, the Impella 2.5 received FDA 510(k) clearance for partial circulatory support for periods up to 6 hours, for cardiac procedures not requiring cardiopulmonary bypass. 1. The pump is inserted through the femoral artery into the ascending aorta. 3. Blood is pumped through an inlet area in the left ventricle and expels blood from the outlet area and into the ascending aorta. HCS-PM00522 rA 2. The pump is then placed across the valve and into the left ventricle 4. A 12 French motor, running at 50,000 revolutions per minute (RPM) enables the Impella 2.5 to pump 2.5 liters of blood per minute into the aorta and out to the rest of the body. Impella CP™ How the Impella CP Works The Impella CP™ is a new percutaneous, catheter-based Impella® device. The increased flow of the Impella CP™ is delivered on the same platform as the Impella 2.5. The pump can be inserted through the same procedure as the Impella 2.5. In September 2012, the Impella CP received FDA 510(k) clearance for circulatory support for periods up to 6 hours, for cardiac procedures not requiring cardiopulmonary bypass. Impella® 5.0 How the Impella 5.0 Works: The Impella 5.0 catheter is an intravascular microaxial blood pump that delivers up to 5.0 liters a minute of forward blood flow from the left ventricle to the aorta. The Impella 5.0 can be inserted into the left ventricle via femoral cut down or through the axillary artery. The Impella 5.0 pump goes through the ascending aorta, across the valve and into the left ventricle. Micro-Axial Blood Pump Delivers forward-flow from the left ventricle to the aorta 9 Fr catheter-based platform 21 Fr micro-axial pump Minimal bedside support Single Access Point Minimally invasive placement through a single artery and into the left ventricle Several options for access site No septal puncture No priming/no blood outside the body Multiple large bore cannulae not required HCS-PM00522 rA In April 2009, the Impella 5.0 received FDA 510(k) clearance for circulatory support for periods up to 6 hours, for cardiac procedures not requiring cardiopulmonary bypass. Automated Impella® Controller (AIC) The Automated Impella Controller (AIC) is the primary user control interface for the Impella platform. The AIC controls the Impella catheter performance, monitors for alarms, and displays real time hemodynamic and catheter position information. The AIC is approved for patients to be transported while being supported by the Impella. Automated Impella Controller Details: Large high resolution display delivers real time critical care information Transportation capable with durable and secure cart Autoflow single touch activation Boost setting delivers maximum support Direct dial-in flow capability for weaning HCS-PM00522 rA